摘要
目的通过对本组病例的综合分析,提高对老年性肺炎X线诊断的认识。方法收集本院住院的56例年龄在67～92岁患者的胸部X光片进行综合分析。结果48例(占全部病例86%)肺部的炎性渗出性病灶不明显,以慢性支气管炎、肺气肿为主的X线表现为主,在紊乱、迂曲的肺纹理中,挟杂有少许小斑点状阴影,边缘不清。结论60岁以上,特别是本身有慢性基础性疾病的老年性肺炎的肺泡渗出通常不明显,而肺间质炎症渗出相对明显,阅片时应综合各种临床资料及各种辅助检查,全面分析。
Objective To analyze X-ray findings of senile pneumonia.Methods Chest X-ray films of 56 patients whose age ranged between 67 and 92 years old were analyzed comprehensively.Results On chest X-ray films of 48 patients(86 %)the inflammatory exudative lesions in the lungs were not obvious whereas main X-ray findings were those of chronic bronchitis and emphysema such as small mottling shadows with ill defined margin involved by disorderly and tortuous lung marking.Conclusion For the patients over 60 years old especially themselves have chronic basic senile diseases,usually the inflammatory exudative lesions in alveoli are not obvious whereas pulmonary interstitial inflammation is relatively obvious so that when reading chest X-ray films of the patients with senile pneumonia the overall analysis combined with various clinical data and assistant examinations is very necessary.
出处
《实用医学影像杂志》
2003年第5期254-255,共2页
Journal of Practical Medical Imaging
